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Humana and Riverside Medical Clinic Partner to Launch Value-Based Arrangement in California

Riverside Medical Clinic to open two senior-focused primary care practices exclusive to Humana Medicare Advantage members, designed to improve members’ health and well-being

Tuesday, October 21, 2014 1:30 pm EDT



Public Company Information:

"We’re excited that Riverside Medical Clinic is partnering with us to provide innovative, patient-centered care for our Humana Medicare Advantage members, improving their well-being."

RIVERSIDE, Calif.--(BUSINESS WIRE)--Improved health and more coordinated care for Medicare Advantage (MA) members is the goal behind a new value-based arrangement and population health management partnership between Humana Inc. (NYSE: HUM) and Riverside Medical Clinic. The partnership expands on Humana and Riverside Medical Clinic’s longstanding relationship.

As part of the partnership, Riverside Medical Clinic will open two new primary care practices in Riverside County under the Riverside Medical Clinic Senior Health Care Center brand.

The primary care practices are designed exclusively for Humana’s Medicare Advantage and traditional Medicare members and will provide members access to affordable, quality care in a patient-centered, medical home environment. These practices will have integrated care teams that include doctors, nurses, health coaches, nutritionists, a pharmacist for medication management, and social services/behavioral health resources.

Both in Riverside County, the primary care practices are located at 19314 Jesse Lane, Suite 100 in Riverside (in the Silver Oaks Business Park) and 33040 Antelope Road, Suite 114 in Murrieta (in the Antelope Square Shopping Center). The two primary care practices will start seeing Humana Medicare Advantage members on or before January 1, 2015.

“The partnership with Humana allows Riverside Medical Clinic to expand its geographic footprint and provide a unique care model to improve the lives of seniors in Riverside County,” said Judy Carpenter, President and COO at Riverside Medical Clinic. “Since the clinic’s founding in 1935 we have been committed to providing excellent care and as our population ages we continue to seek to refine our delivery of that care.”

Riverside Medical Clinic has provided comprehensive, multi-specialty medical services in the greater Riverside region for more than 80 years. With 150 physicians at seven sites, lab services, four urgent care centers, and in-house diagnostic and ambulatory surgery center, Riverside Medical Clinic is in an excellent place to expand to meet the needs of seniors.

“Partnerships like the one with Riverside Medical Clinic help Humana close the gap for our members by making access to care easier and providing coordination of care,” said Jim Brown, California Market President for Humana’s Senior Products. “We’re excited that Riverside Medical Clinic is partnering with us to provide innovative, patient-centered care for our Humana Medicare Advantage members, improving their well-being.”

Humana aims to work closely with doctors and hospitals through its Accountable Care Continuum. The continuum is a stepped approach to pay-for-value reimbursement that allows the company to implement different value-based partnerships with hospitals and doctors based on their infrastructure and value-based reimbursement capabilities.

The new partnership between Riverside Medical Clinic and Humana includes value-based incentives tied to performance improvement and will bring better patient care coordination, more cost effective, quality care and a world-class patient experience to Humana members in southern California. The partnership will offer more personalized care and a broad range of population management tools like predictive analytics and chronic care, disease management and wellness programs.

The Humana/Riverside Medical Clinic partnership emphasizes quality outcomes with a focus on care coordination and leverages measures as defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDSI) like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.

Humana has a 26-year accountable care relationship history with more than 1.2 million MA members that are cared for by 38,000 primary care physicians, in more than 900 accountable care relationships across 43 states and Puerto Rico.

About Riverside Medical Clinic

Established in 1935, Riverside Medical Clinic is the largest private provider of ambulatory care in the Inland Empire. They now have seven locations, a state-of-the-art outpatient surgery center, four urgent care centers, laboratory services and a comprehensive center for diagnostic imaging and nuclear medicine. More than 150 physicians in 32 specialty areas provide adult and pediatric primary care, supported by a clinical and administrative staff of more than 720 personnel. Visit www.riversidemedicalclinic.com for more information on Riverside Medical Clinic.

About Humana

Humana Inc., headquartered in Louisville, Ky., is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people we serve across the country.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:

  • Annual reports to stockholders
  • Securities and Exchange Commission filings
  • Most recent investor conference presentations
  • Quarterly earnings news releases
  • Replays of most recent earnings release conference calls
  • Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors)
  • Corporate Governance information

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Humana Inc.
Marina Renneke, APR, 602-760-1758
Corporate Communications
Riverside Medical Clinic
Ruthan Smith, 951-782-5177